The Latch
Safety
Communication
Milking it
100

These hormones are responsible for bonding during breastfeeding, name both of them.

1. Prolactin (decreases stress and anxiety)

2. Oxytocin (the love hormone)

100

Describe at least 2 safety aspects to assess when mother and baby are skin-to-skin during the postpartum hospitalization, regardless of method of birth. 

Hint: Think about basic nursing care and environment of safety in the hospital setting...

  • Call Bell within reach

  • Vital signs 

  • Positioning/comfort 

  • Bed locked & lowest position

  • at least 2 rails up

  • bedside table within reach

100

How can you connect a patient to our lactation team?

1. Phone (407)764-4207

2. Consult in EPIC

3. During transfer in person (office on MIU)

100

The American Academy of Pediatrics recommends Exclusive Breastfeeding for how long?

a. 2 years

b. 1 year

c. 1 month

d. 6 months

d. 6 months (may begin baby food around this time).

200

There are many ways to position an infant for breastfeeding, name or describe the four basic positions.


200

Describe at least 2 safety aspects to assess when mother and baby are skin-to-skin during the first 2 hours postpartum, regardless of method of birth.  

Hint: Think about psychological safety in basic nursing care that applies to our immediate postpartum period...

  • Maternal Stability/transition 

  • Pt comfort level 

  • newborn stability/transition

200

Name a vulnerable population that is less likely to breastfeed.

Young

Low-income

African American

Unmarried

SNAP/WIC participants.

Overweight/Obesity

Unintended pregnancy


200

There are many maternal benefits to breastfeeding, name three diseases that have a reduced rate of occurrence after breastfeeding.

Mothers who breastfeed have a lower risk of developing:

1. breast cancer 

2. ovarian cancer 

3. heart disease 

4. stroke 

5. type-2 diabetes 

6. postpartum depression

300

A good latch is important to improve the chances of a successful breastfeeding journey. Name or describe three characteristics of a good latch.

No pain

Tummy to Mummy or Belly to Belly

Aereola completely or nearly all covered by mouth

Lips flanged outward

Tongue cupped under breast

Audible swallows

Chin to breast

No gaps or 'air-leaks'

300

Frozen Breastmilk is stable for how long?

a. 2 years

b. 1 month

c. 18 months

d. 12 months

d. 12 months (any freezer)

300

When educating a patient what communication techniques would be helpful to increase receptiveness? Describe three.

  • Active listening 

  • Unbiased counseling (nonjudgemental)

  • Eye contact 

  • Get on their level 

300

Name one of the ingredients in Human Colostrum.

1. Immunoglobulin A 

2. Lactoferrin 

3. Leukocytes

4. Epidermal Growth Factor

5. Glucose

6. Fat

7. Protein

8. Carbohydrates

400

As nurses, we want to ensure the safety of our newborn (in the first 2 hours especially), what steps can you take to ensure the couplet is safe and ready to latch? List at least 3 steps.

  • Skin-to-skin 

  • head aligned with body 

  • blanket on the back of baby

  • Mom awake/alert and oriented  

  • feeding cues- rooting/hands to mouth 

400

Breastfeeding is known to reduce many morbidity/mortality risks to newborn, name two (think of chronic illnesses).

SIDS

Respiratory Infections

Type 2 Diabetes

Asthma

Childhood Obesity

400

What are some non-verbal behaviors of the nurse that improve communication between the nurse and the patient? Describe two.

Get on their level.

Remove physical barriers (WOW, equipment in hands).

Avoid distractions.

Take your time.

Use touch appropriately and with permission.

400

These colostrum ingredients (3), assist with newborn immunity, what are they?

1. Immunoglobulin A (an antibody) 

2. Lactoferrin (a protein that helps prevent infection).

3. Leukocytes (white blood cells)

500

There are many ways to help a mother achieve a comfortable and safe position for breastfeeding within the first 6 hours after birth and later as needed during the hospital stay, describe the steps to achieving and maintaining a latch.

  1. Help pt to get in a comfortable/relaxed position with baby using pillows for support. 

  1. Placed baby skin-to-skin, “tummy to mommy”, with baby’s nose aligned with pt’s nipple 

  1. Allow the baby to open the mouth wide, use gentle stimulation as needed (rubbing pt’s nipple on baby’s lips) 

  1. When baby opens wide, swiftly bring the baby onto the breast deeply 

  1. The baby’s chin to touch the breast first, most of the areola should be in the baby’s mouth, nose should be free 

  1. Baby’s suck should be rhythmic with round cheeks and no pain to pt. 

  1. Listen for swallows, use breast compression and stimulation as needed. 

 

500

Explain how to safely maintain skin-to-skin during transfer of mother and infant to another room or other recovery area. 

Hint: Could be in a wheelchair or a stretcher...

Ambulatory: Assist pt to locked wheelchair. Place Infant skin to skin. Cover with a blanket & hat.

Non-Ambulatory: Transfer pt with all side rails up, bed in lowest position, with HOB elevated to at least 300. Place infant skin to skin. Cover with Blanket & hat.

500

Define the LATCH scoring system of the key components of breastfeeding.

HINT: This is charted in EPIC with every head-to-toe assessment. 

L= How well the infant latches to the breast

A= Amount of audible swallowing

T= Type of nipple

C= Maternal Comfort during BF

H= Hold

Each item is scored 0, 1, or 2

500

Describe at least 4 signs of adequate transfer of milk in the first few days of life.

  • Appropriate output per day of life (voids/stools)

  • Visible/Audible swallows 

  • Content/Satiated between feeding sessions. 

  • Feeds at least 8-12x a day (on demand)